THE ASSOCIATION BETWEEN DEPRESSION AND BLOOD PRESSURE IN ESSENTIAL HYPERTENSIVE PATIENTS, JAOKUNPIBOON PRANOMTUAN HOSPITAL
The purpose of this study was to determine the association between depression and blood pressure in essential hypertensive patients, using a descriptive cross-sectional research model. Only essential hypertensive patients with depression in Jaokunpiboon pranomtuan hospital were included during February to May 2015. Data were collected by OPD medical record, Thai version Patient Health Questionnaire (9Q), Stress-5 Questionnaires (ST-5) and Morisky Medication Adherence Scale (MMAS) for assessing the blood pressure, depression, stress and medication adherence score, respectively. This study analyzed the association between depression and blood pressure using Pearson's correlation statistics and multiple linear regression model. The results showed that most of the samples were female (76.7%) with mild depression (56%) had an average blood pressure of 137/79 mmHg, depression was positively associated with blood pressure in both controlled and uncontrolled groups (r = 0.64 and r = 0.70, p < 0.05). In addition, stress and medication adherence are also associated with blood pressure. When analyzed by multiple linear regression analysis, depression, stress, and medication adherence could predict 72% of blood pressure (r2=0.72, p<0.001). Moreover, depression can be predicted statistically significant. Therefore it is importance for screening depression status in essential hypertensive patients, in order to control their blood pressure to a satisfactory level.
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